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1154342434
MARK R MACKNET
LOMA LINDA, CA
NPI
1154342434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA A81707)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
-- MARK R MACKNET M.D.
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4475
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Mailing Address
-- MARK R MACKNET M.D.
55799 FILE NUMBER
LOS ANGELES, CA 90074-5799
Phone number: 800-326-6223
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